Individual
MAURA E DEJOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
725 VETERANS MEMORIAL HIGHWAY, FORENSIC SCIENCES BLDG #487, HAUPPAUGE, NY 11788-0099
(631) 853-5555
Mailing address
PO BOX 6100, HAUPPAUGE, NY 11788-0099
(631) 853-5555
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
244124
NY
207ZP0101X
Anatomic Pathology Physician
Primary
236776
MA
Other
Enumeration date
07/16/2008
Last updated
10/26/2009
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